"I Prefer High-Intensity Exercise"-A Qualitative Study of Men's Experiences with a Nature-Based Exercise Program for People with Arthritis.

Arthritis significantly reduces health-related quality of life, causing pain, fatigue, and decreased physical activity. To address this, exercise is highly recommended. However, men are less likely to participate in rehabilitation compared to women. We detected the same tendency in a nationwide nature-based exercise program in Denmark, with only 8% male participants. Therefore, this qualitative study investigated what engaged and restrained men with arthritis from participating in a nature-based exercise program. We employed interviews as the primary method for data collection. Data were analyzed using Braun and Clarke's thematic analysis, revealing key patterns in participants' experiences. This study finds that the fourteen participants' experiences revealed two themes: (1) meeting with the nature-based exercise program was confusing, motivating, and disappointing, and (2) the social aspect is less important. To better engage men, future programs should include a clear description of the concept of the exercise, high-intensity exercise, a reduced emphasis on social activities, and consistency in the instructors' roles and guidance. Incorporating these findings can better address the needs and preferences of men, helping them feel more like individuals than patients.